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Health System Strengthening: An emerging focus Ideally: Harmonization of health sector investments Country by country- based on local epidemiology and demographics Principles: pro-poor, pro-women, based on human rights Prioritize comprehensive SRHR

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Funding Health Systems Strengthening  Create mechanism or use existing? GAVI WB GFATM  World Bank: expected to triple to $4.1 billion (40% increase over FY 09) health system financing  Global Fund- experimenting with proposals based on National Strategic Plans for health system that include not only AIDS, TB, Malaria but also RH/MNH; RH window for regular proposals

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Challenges for Advocacy (2)  Need bigger pie for health but new money not likely European government budgets contracting US funding goes to US NGO contractors; no abortion Governments not meeting current commitments (Gleneagles- 0.7% GNP to ODA- 5 exceeding target ) (Abuja- 15% of GNP to health- 6 meeting targets)  While promoting funding increase, do more on using existing funds better

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Challenges for Advocacy (3)  Building our Movement Donors question value of funding political movements Difficulties with measuring results of advocacy Need for new blood, training, mobilizing Perceived and actual competition for limited resources among our several constituencies